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Cardiology MCQ 61: Leriche syndrome

Q. Which of the following is false about Leriche syndrome?
A. Claudication of buttocks and thighs
B. Impotence
C. More common in females
D. Usually affects young adults (30 to 40 years)

 Answer: C. More common in females

 Explanation:

 Leriche syndrome:

 Leriche syndrome, also referred to as aortoiliac occlusive disease, is due to thrombotic occlusion of the abdominal aorta just above the site of its bifurcation and distal to renal arteries.

 Presents with triad of 
1. Claudication of buttocks and thighs
2. Impotence
3. Absent bilateral femoral pulses

 Etiology may be: Atherosclerotic, Vasculitic or thrombotic obstruction.
Commonly affects younger (30-40 years) males.

 Treatment includes: Endarterectomy, Aortofemoral bypass or Percutaneous transluminal angioplasty and stentin.
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